Membership Application

Club Information

Name

Gender

Address

The monthly "Toastmaster" magazine will be sent to the following address:

Membership Type

A one-time fee is required with your membership application.

When would you like your membership to begin?

Panorama Toastmasters membership is $9.00/month. Membership dues are paid twice a year (April 1st and October 1st) by all members and dues are pro-rated from the member’s start month:

One-time fee$35.00
Monthly dues$36.00
Processing fee$2.00
Total due$73.00

For membership from June 5th, 2020 through September 30th, 2020.

Once your application is accepted, our Treasurer will send you a PayPal invoice for the amount shown above.

Member's Agreement and Release

A Toastmaster’s Promise

Verification of Applicant

By my signature below, I agree to the terms of a Toastmaster's Promise and the Member's Agreement and Release stated above, and certify that I am 18 years of age or older (in compliance with the Toastmasters Club Constitution for Clubs of Toastmasters International). I acknowledge that my typed name below constitutes my signature, and is legally equivalent to my handwritten signature.